Individual provider Active NPI

Meghann Reynolds Ray, PA-C

  • Physician Assistant
  • Evansville, IN
National Provider Identifier
1801107834
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002829A Issued in IN
Practice address
1401 Professional Blvd
Evansville, IN 47714-8014
Phone
(812) 473-2060
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001003167 NC
Physician Assistant 363A00000X PA00135 MS
Physician Assistant 363A00000X 10002829A IN Primary
Physician Assistant 363A00000X PA3173 KY

Addresses

Primary practice location

1401 Professional Blvd
Evansville, IN 47714-8014

Mailing address

1401 Professional Blvd
Evansville, IN 47714-8014
Phone (812) 473-2060

Other practice location 1

1020 Professional Blvd
Evansville, IN 47714-8009
Phone (812) 473-2060

Other practice location 2

800 N Elm St
Henderson, KY 42420-2709
Phone (270) 827-2312

Other identifiers 8

IdentifierTypeStateIssuer
9657842OtherAENTA
1683JOtherNCBCBSNC
300072217MedicaidIN
8102481MedicaidNC
P01223903OtherNCMEDICARE-RAILROAD
1341PAMedicaidSC
7100886350MedicaidKY
834026OtherSCWELLCARE OF SC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230216000334 IN Practitioner - Physician Assistant 1355508938 Reassigns benefits to 1 organization
I20230330001675 KY Practitioner - Physician Assistant 1355508938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Ear Nose and Throat Surgery PSCGroup PAC ID 3173516887, 14 clinicians

Practice addresses (Care Compare)

1305 N Elm St
Suite 110
Henderson, KY 42420-2783
Phone (270) 827-2312

1401 Professional Blvd
Evansville, IN 47714-8014
Phone 8124732060219

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00135MSMDPhysician Assistant
001003167NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mray@midwestent.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1801107834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148014",
            "telephone_number": "812-473-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PROFESSIONAL BLVD",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148014",
            "telephone_number": "812-473-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Professional Blvd",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477148009",
            "country_code": "US",
            "telephone_number": "812-473-2060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424202709",
            "country_code": "US",
            "telephone_number": "270-827-2312",
            "fax_number": "270-827-0057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "MEGHANN",
        "middle_name": "REYNOLDS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001003167",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00135",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002829A",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA3173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AENTA",
            "identifier": "9657842",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "1683J",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300072217",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8102481",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-RAILROAD",
            "identifier": "P01223903",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1341PA",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100886350",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF SC",
            "identifier": "834026",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.